Has your spouse hurt people you care about as a way of hurting you, or damaged things of importance to you in the last twelve months?

How many times has your spouse ever threatened to hurt you?

How many times has your spouse ever hurt people you care about as a way of hurting you, or damaged things of importance to you?

How many times has your spouse ever insulted you or deliberately made you feel bad about yourself?

How many times has your spouse ever done things to scare or intimidate you on purpose for example by the way he looked at you, or by yelling and smashing things?

How many times has your spouse ever belittled or humiliated you in front of other people?

Have you insulted your spouse or deliberately made her feel bad about herself in the last twelve months?

Have you insulted or belittled your spouse in the last twelve months?

Have you threatened to hurt your spouse in the last twelve months?

Have you done things to scare or intimidate your spouse on purpose for example by the way you looked at her, by yelling and smashing things in the last twelve months?